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  • In 5 decades of clinical experience, I don't recall seeing this particular clinical presentation. In combat vets dating back to WW TWO and including the post 911 conflicts I typically find: complex PTSD due to multiple combat exposures; complex grief; TBI in some; and SUD. I do agree that treatment is challenging.

    And it is crucial to differentiate OCD from OC Personality D/O.

    I find that group therapy over a period of time to be quite efficacious as it recapitulates the essential psychosocial unit, the squad.

  • All ideas will be considered, but may not be accepted.